Organization
ABILENE PROFESSIONAL EYECARE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD SHANKS O.D. (PRESIDENT)
(325) 691-0101
Entity
Organization
Contact information
Practice address
3225 S 27TH ST, ABILENE, TX 79605-6221
(325) 691-0101
(325) 691-8950
Mailing address
3225 S 27TH ST, ABILENE, TX 79605-6221
(325) 691-0101
(325) 691-8950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5650TG
TX
Other
Enumeration date
05/03/2011
Last updated
11/16/2011
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